Cargando…

Fracture patterns in the maxillofacial region: a four-year retrospective study

OBJECTIVES: The facial bones are the most noticeable area in the human body, and facial injuries can cause significant functional, aesthetic, and psychological complications. Continuous study of the patterns of facial bone fractures and changes in trends is helpful in the prevention and treatment of...

Descripción completa

Detalles Bibliográficos
Autores principales: Park, Kyung-Pil, Lim, Seong-Un, Kim, Jeong-Hwan, Chun, Won-Bae, Shin, Dong-Whan, Kim, Jun-Young, Lee, Ho
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Association of Oral and Maxillofacial Surgeons 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4699931/
https://www.ncbi.nlm.nih.gov/pubmed/26734557
http://dx.doi.org/10.5125/jkaoms.2015.41.6.306
_version_ 1782408253184933888
author Park, Kyung-Pil
Lim, Seong-Un
Kim, Jeong-Hwan
Chun, Won-Bae
Shin, Dong-Whan
Kim, Jun-Young
Lee, Ho
author_facet Park, Kyung-Pil
Lim, Seong-Un
Kim, Jeong-Hwan
Chun, Won-Bae
Shin, Dong-Whan
Kim, Jun-Young
Lee, Ho
author_sort Park, Kyung-Pil
collection PubMed
description OBJECTIVES: The facial bones are the most noticeable area in the human body, and facial injuries can cause significant functional, aesthetic, and psychological complications. Continuous study of the patterns of facial bone fractures and changes in trends is helpful in the prevention and treatment of maxillofacial fractures. The purpose of the current clinico-statistical study is to investigate the pattern of facial fractures over a 4-year period. MATERIALS AND METHODS: A retrospective analysis of 1,824 fracture sites was carried out in 1,284 patients admitted to SMG-SNU Boramae Medical Center for facial bone fracture from January 2010 to December 2013. We evaluated the distributions of age/gender/season, fracture site, cause of injury, duration from injury to treatment, hospitalization period, and postoperative complications. RESULTS: The ratio of men to women was 3.2:1. Most fractures occurred in individuals aged between teens to 40s and were most prevalent at the middle and end of the month. Fractures occurred in the nasal bone (65.0%), orbital wall (29.2%), maxillary wall (15.3%), zygomatic arch (13.2%), zygomaticomaxillary complex (9.8%), mandibular symphysis (6.5%), mandibular angle (5.9%), mandibular condyle (4.9%), and mandibular body (1.9%). The most common etiologies were fall (32.5%) and assault (26.0%). The average duration of injury to treatment was 6 days, and the average hospitalization period was 5 days. Eighteen postoperative complications were observed in 17 patients, mainly infection and malocclusion in the mandible. CONCLUSION: This study reflects the tendency for trauma in the Seoul metropolitan region because it analyzes all facial fracture patients who visited our hospital regardless of the specific department. Distinctively, in this study, midfacial fractures had a much higher incidence than mandible fractures.
format Online
Article
Text
id pubmed-4699931
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher The Korean Association of Oral and Maxillofacial Surgeons
record_format MEDLINE/PubMed
spelling pubmed-46999312016-01-05 Fracture patterns in the maxillofacial region: a four-year retrospective study Park, Kyung-Pil Lim, Seong-Un Kim, Jeong-Hwan Chun, Won-Bae Shin, Dong-Whan Kim, Jun-Young Lee, Ho J Korean Assoc Oral Maxillofac Surg Original Article OBJECTIVES: The facial bones are the most noticeable area in the human body, and facial injuries can cause significant functional, aesthetic, and psychological complications. Continuous study of the patterns of facial bone fractures and changes in trends is helpful in the prevention and treatment of maxillofacial fractures. The purpose of the current clinico-statistical study is to investigate the pattern of facial fractures over a 4-year period. MATERIALS AND METHODS: A retrospective analysis of 1,824 fracture sites was carried out in 1,284 patients admitted to SMG-SNU Boramae Medical Center for facial bone fracture from January 2010 to December 2013. We evaluated the distributions of age/gender/season, fracture site, cause of injury, duration from injury to treatment, hospitalization period, and postoperative complications. RESULTS: The ratio of men to women was 3.2:1. Most fractures occurred in individuals aged between teens to 40s and were most prevalent at the middle and end of the month. Fractures occurred in the nasal bone (65.0%), orbital wall (29.2%), maxillary wall (15.3%), zygomatic arch (13.2%), zygomaticomaxillary complex (9.8%), mandibular symphysis (6.5%), mandibular angle (5.9%), mandibular condyle (4.9%), and mandibular body (1.9%). The most common etiologies were fall (32.5%) and assault (26.0%). The average duration of injury to treatment was 6 days, and the average hospitalization period was 5 days. Eighteen postoperative complications were observed in 17 patients, mainly infection and malocclusion in the mandible. CONCLUSION: This study reflects the tendency for trauma in the Seoul metropolitan region because it analyzes all facial fracture patients who visited our hospital regardless of the specific department. Distinctively, in this study, midfacial fractures had a much higher incidence than mandible fractures. The Korean Association of Oral and Maxillofacial Surgeons 2015-12 2015-12-17 /pmc/articles/PMC4699931/ /pubmed/26734557 http://dx.doi.org/10.5125/jkaoms.2015.41.6.306 Text en Copyright © 2015 The Korean Association of Oral and Maxillofacial Surgeons. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Park, Kyung-Pil
Lim, Seong-Un
Kim, Jeong-Hwan
Chun, Won-Bae
Shin, Dong-Whan
Kim, Jun-Young
Lee, Ho
Fracture patterns in the maxillofacial region: a four-year retrospective study
title Fracture patterns in the maxillofacial region: a four-year retrospective study
title_full Fracture patterns in the maxillofacial region: a four-year retrospective study
title_fullStr Fracture patterns in the maxillofacial region: a four-year retrospective study
title_full_unstemmed Fracture patterns in the maxillofacial region: a four-year retrospective study
title_short Fracture patterns in the maxillofacial region: a four-year retrospective study
title_sort fracture patterns in the maxillofacial region: a four-year retrospective study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4699931/
https://www.ncbi.nlm.nih.gov/pubmed/26734557
http://dx.doi.org/10.5125/jkaoms.2015.41.6.306
work_keys_str_mv AT parkkyungpil fracturepatternsinthemaxillofacialregionafouryearretrospectivestudy
AT limseongun fracturepatternsinthemaxillofacialregionafouryearretrospectivestudy
AT kimjeonghwan fracturepatternsinthemaxillofacialregionafouryearretrospectivestudy
AT chunwonbae fracturepatternsinthemaxillofacialregionafouryearretrospectivestudy
AT shindongwhan fracturepatternsinthemaxillofacialregionafouryearretrospectivestudy
AT kimjunyoung fracturepatternsinthemaxillofacialregionafouryearretrospectivestudy
AT leeho fracturepatternsinthemaxillofacialregionafouryearretrospectivestudy